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In recent decades human-centred design (HCD) has become a dominant methodology in all design disciplines.

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But this surge of interest and activity in designing for health is surviving in the midst of a perfect storm of forces challenging the maturation of this field: 1) confusion over the meaning of designing for health, 2) uncertainty about how to properly manage the integration of knowledge areas in multi-disciplinary fields, and 3) reservation about the role of research in this emerging field.

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However, in the intersection of the two disciplines practitioners, professors, and students in both fields are maneuvering to exploit undergraduate, graduate, and post professional training that offer study and practice opportunities ranging from a basic understanding of the impact of design on health to rigorous research pathways exploring the actual mechanisms of design’s influence on human health.

Both architecture and public health enjoy a long legacy of well-conceived pedagogy both in their respective curricula, and also in the matters of internship, field training, and professional practice. This has the benefit of tapping into well-developed scholarship in each field. The paper highlights three specific projects that utilized participatory design as a strategy to frame equitable development: addressing an urban waterway under a consent decree to alleviate environmental injustices promoting greater health outcomes through food distribution advocacy and empowering the next generation of built environment practitioners from youth in under-served communities.Įducators in the area of design for health find themselves at the intersection of two already mature and robust knowledge disciplines: architecture and public health. By sharing power with communities the gateway of design possibilities expands, allowing for more diverse voices to be at the table from the beginning. From co-developing and evaluating the impact of bilingual health promotion signage in public parks to forming a community council to develop and launch a mobile grocery store, the participatory design methods highlighted in this paper demonstrate how consent and consensus building can allow for greater representation and participation in design practice. These interdisciplinary methods present opportunities for communities to own the visioning and take part in the co-creation of a more equitable built environment. As pre-design advocacy evolves beyond standard forms of community engagement, new methods of participatory design are necessary. Building upon theories of spatial agency, collective impact, and design advocacy, built environment practitioners in the field of public interest design have begun to serve communities as their clients in pursuit of equitable community development.

After decades of systemic disinvestment, communities across the country have seen their built environment contribute to unequal access to health, education, and development opportunities.

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Research has shown that an individual’s life expectancy is determined more by their Zip Code than by their own DNA. The interpretations I provide are opening the door for further analyses. The relevance of my study lies in the timeliness of the trend of applying HCD in development and global health, and in the rather novel application of discourse analysis. The thesis fills in the gap in the literature on HCD in terms of critically engaging with “scientific” representations of/in HCD projects through Foucauldian critical discourse analysis. I also highlight linkages between HCD and two development theories to help “development specialists” position themselves in relation to HCD. I pose the questions of who and what the human is in the center and what political implications may arise depending on its discoursive formations. I deploy the concepts of biopolitics, psychopolitics, episteme and biomedicalization to enable critical interpretations of HCD and the (re)constructions and (re)negotiations of the human in the center, after establishing the method of ensembling the corpus of my analysis. I locate my study in post-structuralist literature and provide a reading of the intertwined discourse of global health and development. In this inquiry I problematize the emerging trend of adopting human-centered design (HCD) approaches in development projects and especially in projects related to global health.

Healthcare synergy healthcare assistant database open